Influence of oral health on the quality of life of institutionalized and noninstitutionalized elderly people

Saliba, Tânia Adas; Ortega, Mariana Martins; Goya, Karimy Kassem; Moimaz, Suzely Adas Saliba; Garbín, Cléa Adas Saliba

doi:10.4103/1735-3327.237250

Cited by 6 publications

(1 citation statement)

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“…Depression is a risk factor for poor oral health [11], because it leads to the neglect of oral care, and poor oral health is a depression medication-related adverse event [12,13]. Furthermore, poor oral health can worsen psychological distress and depression because of the poor perception of one's oral health [14] and diminished self-worth [15]. Anxiety is another mental health disorder that can also increase the risk for poor oral health [16,17], though this association is not as consistent as that observed with depression [18].…”

Section: Introductionmentioning

confidence: 99%

Moderating effects of resilience and self-esteem on associations between self-reported oral health problems, quality of oral health, and mental health among adolescents and adults in Nigeria

et al. 2023

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Background There is an intersection between oral and mental health though the studies on these intersections are few. This study investigated associations between self-reported oral health problems, quality of oral health, and depression and general anxiety among adolescents and adults in Nigeria; and analysed the moderating effects of resilience and self-esteem on these associations. Methods In this secondary analysis, data were extracted from the database of an online survey conducted among participants 13 years and older and living in Nigeria about their self-reported psychological wellbeing. The data was collected between September and October 2020. Dependent variables were self-reported presence of oral health problems (yes/no) and self-reported quality of oral health (using a five-item scale ranging from “very good” to “very poor”). Independent variables were depressive and anxiety symptoms. Moderating factors evaluated were resilience and self-esteem. Multivariable logistic regression analysis was used to determine the associations between the dependent and independent variables after adjusting for confounders (age, sex, employment status and educational status). A path analysis was conducted to determine the moderating effects of self-esteem and resilience on associations between dependent and independent variables. Results We extracted data for 2,757 adolescents and adults aged 13 to 62 years, of which 2,062 (74.8%) reported having oral health problems and 925 (33.6%) reported poor quality of oral health. Higher levels of depressive symptoms were significantly associated with higher odds of oral health problems (AOR: 1.07; 95% CI: 1.04–1.10; p<0.001). Higher levels of depressive symptoms (AOR: 1.05; 95% CI: 1.03–1.07; p<0.001), and higher levels of anxiety symptoms (AOR: 1.07; 95% CI: 1.04–1.11; p<0.001) were significantly associated with poor quality of oral health. Resilience significantly moderated the association between anxiety symptoms and oral health problems (AOR = -0.004; 95% CI: -0.006 –-0.001; p = 0.002). Conclusion Depression may be a risk indicator for self-reported oral health problems, while depression and anxiety appear to be risk indicators for self-reported poor quality of oral health. These factors could be included as confounders in future studies on oral health problems and quality of oral health among adolescents and adults in Nigeria.

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Section: Introductionmentioning

confidence: 99%

Moderating effects of resilience and self-esteem on associations between self-reported oral health problems, quality of oral health, and mental health among adolescents and adults in Nigeria

et al. 2023

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Association of sociodemographic factors and self‐perception of health status on oral health‐related quality of life among the older persons in Malaysia

Anuar

Yacob

Mohamed

et al. 2020

Geriatrics Gerontology Int

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Aim This study aimed to evaluate the oral health‐related quality of life (OHRQoL) among older persons in Malaysia and its associations with sociodemographic and self‐perception towards general health as well as oral health. Methods A cross‐sectional survey among community dwelling older persons utilizing stratified cluster sampling was conducted in 2018. Well‐trained interviewers conducted a face‐to‐face interview with older persons aged ≥60 years to collect information on participants' sociodemographic characteristics, self‐perception on general as well as oral health using the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analysis of the data collected was performed using SPSS version 23. Results Overall, the GOHAI mean ± SD score for older persons in Malaysia was 51.83 ± 7.98, which was an average of fair mean (P < 0.001). Those with poor self‐rated oral health (48.34 ± 8.96) or poor self‐rated general health (47.13 ± 8.93) had poor mean OHRQoL (P < 0.001). Logistic regression analysis shows older persons who stay with spouse/partner (adjusted odds ratio [aOR]: 1.96 [1.66, 2.31]), no formal education (aOR: 1.84 [1.29, 2.61]) and self‐perceived unhealthy oral health (aOR: 3.83 [3.19, 4.59]) were significantly associated with higher odds of having poor OHRQoL. Conclusions The estimated OHRQoL of older persons in Malaysia is rated as fair, with minimum association contributed by the sociodemographic factors, but with a significant influence by self‐rated oral and general health. Self‐perception of health can be used as a good indicator to estimate the OHRQoL. Geriatr Gerontol Int 2020; 20: 57–62.

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Relationship between the Necessary Support Level for Oral Hygiene and Performance of Physical, Daily Activity, and Cognitive Functions

Tamaki

Hiratsuka

Kumakawa

et al. 2018

International Journal of Dentistry

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To maintain good oral hygiene on their own, elderly adults need comprehensive abilities, such as physical, daily activity, and cognitive functions. In the long-term care certification, care support specialists conduct surveys that include a total of 74 items about physical function, daily activity function, living functions, cognitive function, mental/behavioral disorders, and adaption to social life. The data of the long-term care certification survey contain three items related to oral health: the necessary support level for oral hygiene, ability to swallow, and assistance with food intake. The aims of this study were to identify which functions are absent in elderly individuals who cannot maintain proper oral hygiene and to clarify at which stage it is necessary to assist elderly individuals with their oral hygiene and provide professional oral care. In this study, an analysis was conducted to identify the relationship between the necessary support level for oral hygiene and the performance of physical, daily activity, and cognitive functions. The results of the long-term care certification surveys were analyzed for 23,423 cases that involved 9,571 individuals who submitted a claim using long-term care statements between January 2009 and March 2018. The results of a multivariable logistic regression analysis showed that the following items had high odds ratios: “walk” and “stand up” in the physical and daily activity functions and the ability to “understand the everyday routine” and “make daily decisions” in the cognitive functions. The results of a decision tree analysis revealed that in order for elderly individuals to maintain good oral hygiene on their own, they must have adequate physical functioning as well as adequate performance of cognitive functions. Our study's findings suggest that comprehensive ability in both physical and cognitive functions is required for elderly adults to maintain their oral hygiene.

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Influence of oral health on the quality of life of institutionalized and noninstitutionalized elderly people

Cited by 6 publications

References 0 publications

Moderating effects of resilience and self-esteem on associations between self-reported oral health problems, quality of oral health, and mental health among adolescents and adults in Nigeria

Moderating effects of resilience and self-esteem on associations between self-reported oral health problems, quality of oral health, and mental health among adolescents and adults in Nigeria

Association of sociodemographic factors and self‐perception of health status on oral health‐related quality of life among the older persons in Malaysia

Relationship between the Necessary Support Level for Oral Hygiene and Performance of Physical, Daily Activity, and Cognitive Functions

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